This page (revision-46) was last changed on 07-Jul-2022 14:44 by Karen Parrott

This page was created on 26-Nov-2021 10:22 by KateN

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Version Date Modified Size Author Changes ... Change note
46 07-Jul-2022 14:44 25 KB Karen Parrott to previous
45 26-Nov-2021 10:22 24 KB kparrott to previous | to last
44 26-Nov-2021 10:22 24 KB kparrott to previous | to last
43 26-Nov-2021 10:22 24 KB kparrott to previous | to last
42 26-Nov-2021 10:22 24 KB kparrott to previous | to last
41 26-Nov-2021 10:22 23 KB kparrott to previous | to last

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;[ACA Min. Value Self|ACA_MIN_VALUE_SELF]:A toggle to identify if the plan meets Minimum Essential Coverage, as defined by the IRS Rules. You would only toggle on a self-only coverage if it meets that criteria.
;[ACA Coverage|ACA_LINE_14]:This is used for ACA reporting on the 1095C form. The options listed are for the type of coverage selected. The value will be shown as a code in Line 14 on the 1095C form and in [VBACAE].
;[ACA Monthly EE Prem|]:This the cost to the employee for this coverage. It may be the employee deduction rate from the Rates tab, or another value. Note that this value represents a __monthly__ rate.
;[User Calcs|]:This option allows for a UserCalc to compute the ACA Monthly Employee Premium, rather than take it from the field above ACA Monthly EE Prem.
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;:%%information If there is a component that must be manually entered at the time the employee elects the coverage then the component should have a BC Action of ‘Store on Enroll’ or ‘Store on Line & Enroll’ and have the ‘Allow Value Override’ toggle ON. This ensures that the component will be provided for input in the Process Benefit Elections ([IBEL]) form. All other components may have the ‘Allow Value Override’ OFF, but still have a BC action of ‘Store on Enroll’ or ‘Store on Line & Enroll’.\\ \\A [pay component|PAY COMPONENTS] may be indicated in the <PC Code> field if the result is required for Payroll processing or reporting. The BC action must be ‘Store on BE Line’ or ‘Store on Line & Enroll’.\\ \\ If any of the ‘Convert to Pay Period Amount’ components are to be used ensure that the ‘Week per Year’ and ‘Months per Year’ fields are completed on the Group ([IDGR]) form in order for the benefit calculation to process the conversion appropriately.%%
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;%%information If there is a component that must be manually entered at the time the employee elects the coverage then the component should have a BC Action of ‘Store on Enroll’ or ‘Store on Line & Enroll’ and have the ‘Allow Value Override’ toggle ON. This ensures that the component will be provided for input in the Process Benefit Elections ([IBEL]) form. All other components may have the ‘Allow Value Override’ OFF, but still have a BC action of ‘Store on Enroll’ or ‘Store on Line & Enroll’.\\ \\A [pay component|PAY COMPONENTS] may be indicated in the <PC Code> field if the result is required for Payroll processing or reporting. The BC action must be ‘Store on BE Line’ or ‘Store on Line & Enroll’.\\ \\ If any of the ‘Convert to Pay Period Amount’ components are to be used ensure that the ‘Week per Year’ and ‘Months per Year’ fields are completed on the Group ([IDGR]) form in order for the benefit calculation to process the conversion appropriately.%%
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Coverage Rates specify the set of rates applied to a specific step within the coverage detail.
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Coverage Rates specify the set of rates applied to a specific step within the coverage detail.
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!!Benefit Dependencies tab
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%%information The information displayed in this tab is a display only and is used by Open Enrollment (OE). The data will be populated on this tab for the Secondary Plan from the setup done on the Benefit Plan Schedule form [IBSC]. The Coverages from the Secondary plan will be shown with the associated coverage required from the Primary Plan. %%
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;[Scheduled Coverage|PRIMARY_COVERAGE]:This is the coverage from the Primary Plan that has a dependency to another plan/coverage (the Secondary Plan/Coverage)
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;[Dependent Coverage|ALLOWED_SECONDARY_COVERAGE]:For the selected plan (Secondary Plan), this is the coverage that is associated to the Primary plan.
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;[Default Coverage|DEFAULT_COVERAGE]: This field determines what coverage is used for the Secondary Plan when the 'Allowed Secondary Coverage' field is populated. \\- If the toggle is ON, then the system will default the coverage (i.e. if the user does nothing, they will get this coverage)\\- If “Default” is OFF, then the user must actively choose this coverage – i.e. must make a positive choice even though this is the only option.